Question

A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

Answer 1

Correct Answers:

Discard remaining TPN solution that is still infusing after 24 hr.

Rationale :

🧠TPN solutions are high in glucose and lipids, making them a rich medium for bacterial growth.

🧠For safety, any remaining TPN must be discarded after 24 hours, even if the bag is not empty.

🧠Tubing is changed every 24 hours, and the solution should warm to room temperature naturally—do not infuse directly from refrigeration.

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Answer 2

Correct Answers:

Offer mouth rinses with normal saline and water.

Rationale :

◼Stomatitis causes painful mouth sores, and saline rinses help soothe irritation and reduce bacterial load without causing further trauma.

◼Hot foods, sauces, and drinking without straws are discouraged because they may irritate oral mucosa.

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Answer 3

Correct Answers:

Administer antiemetics on a schedule

Rationale :

🌞Scheduled antiemetics are more effective than PRN use in preventing anticipatory and persistent nausea associated with radiation therapy.

🌞 Hot foods or low-carb diets can worsen nausea.

🌞Snacks just before treatment may also trigger symptoms.

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Answer 4

Correct Answers:

1 cup broccoli

Rationale :

✔Broccoli is a calcium-rich vegetable that supports bone health.

✔Tomatoes, grapes, and bananas contain less calcium and are not as beneficial in osteoporosis prevention.

✔Dairy, leafy greens, and fortified cereals are also strong calcium sources.

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Answer 5

Correct Answers:

Increase intake of whole grains.

Rationale :

💨Whole grains are rich in fiber and nutrients that help lower LDL cholesterol and reduce cardiovascular risk.

💨Refined carbohydrates, excess sodium, and reducing omega-3 intake do the opposite—they increase risk.

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Answer 6

Correct Answers:

Place the client in a semi-Fowlers position when eating.

Rationale :

✴Elevating the head prevents aspiration during meals.

✴Thin liquids and tilting the chin upward increase choking risk.

✴Calorie counting is useful but does not address safety during swallowing.

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Answer 7

Correct Answers:

"Avoid aged cheeses while taking this medication."

Rationale :

📌Aged cheeses contain tyramine, which can interact dangerously with MAOIs, leading to hypertensive crises.

📌Grapefruit is not contraindicated with MAOIs (though it is with many other meds), and protein or calorie restriction is not relevant here.

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Answer 8

Correct Answers:

Flush the client's tube with 30 mL of water every 4 hr.

Rationale :

🔸Flushing the tube every 4 hours helps maintain patency, especially during continuous feedings.

🔸Gastric residuals should be checked more frequently than every 12 hours.

🔸Electrolytes are monitored daily unless otherwise indicated

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Answer 9

Correct Answers:

Omega-3 fatty acids

Rationale :

🦠Vegans may lack omega-3 fatty acids commonly found in fish.

🦠Deficiency can affect brain and cardiovascular health.

🦠Vitamin B12 and iron are also common concerns, but among the listed, omega-3s are the most at-risk.

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Answer 10

Correct Answers:

Hoarse voice

Rationale :

◽A hoarse or wet-sounding voice can indicate aspiration or impaired swallowing.

◽Expressive aphasia affects speech, not swallowing.

◽Weight gain is unrelated, and continuous smiling is not a symptom of dysphagia.

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QLexNursing

1 :
A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

2 :
A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?

3 :
A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?

4 :
A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content?

5 :
A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?

6 :
A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

7 :
A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?

8 :
A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

9 :
A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

10 :
A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

QLexNursing

1 : A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

2 : A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?

3 : A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?

4 : A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content?

5 : A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?

6 : A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

7 : A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?

8 : A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

9 : A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

10 : A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?

1 :
A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following actions should the nurse plan to take?

2 :
A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?

3 :
A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?

4 :
A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content?

5 :
A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?

6 :
A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

7 :
A nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?

8 :
A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

9 :
A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

10 :
A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?